Tension‐Type Headache – The Normal and Most Prevalent Headache
Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential dia...
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Published in | Headache Vol. 58; no. 2; pp. 339 - 345 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.02.2018
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Subjects | |
Online Access | Get full text |
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Abstract | Premise
Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.
Problem
In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.
Potential Solution
A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers. |
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AbstractList | Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.PREMISETension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.PROBLEMIn this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.POTENTIAL SOLUTIONA structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers. Premise Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. Potential Solution A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers. Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers. Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. Potential Solution A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers. |
Author | Jensen, Rigmor Højland |
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Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.... Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. In this... Premise Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.... Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied... |
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SubjectTerms | clinical presentation Coexistence Diagnosis Diagnosis, Differential Diagnostic systems Differential diagnosis Drugs Epidemiology Headache Headaches Humans Migraine Prevalence primary headache Tension Tension-Type Headache - diagnosis Tension-Type Headache - epidemiology Tension-Type Headache - therapy tension‐type headache treatment |
Title | Tension‐Type Headache – The Normal and Most Prevalent Headache |
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